Safe and appropriate use of insulin and other antihyperglycemic agents in hospital.

William Cornish

Review

Safe and appropriate use of insulin and other antihyperglycemic agents in hospital.

April 23, 2014

Cornish W. Can J Diabetes. 2014;38(2):94-100.

View more articles from the same authors.

Insulin is a high-alert medication due to the potential for serious patient harm resulting from inappropriate administration. This review describes tactics to enhance safe insulin use, including improved attention to contraindications, clinical decision support implementation, and education for providers about glycemic control.

PubMed citation

Available at

Related Resources From the Same Author(s)

Unintended medication discrepancies at the time of hospital admission.

April 3, 2005

The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety.

March 26, 2008

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.

January 31, 2007

Improving patient safety by practicing in a just culture.

July 12, 2017

'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently.

December 6, 2023

Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital?

July 9, 2008

Improving patient safety in radiotherapy by learning from near misses, incidents and errors.

August 1, 2007

Meaningful use of health information technology and declines in in-hospital adverse drug events.

March 8, 2017

For whom the Bell Commission tolls: unintended effects of limiting residents' hours.

November 11, 2009

Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists.

January 9, 2019

Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.

December 21, 2011

Measure twice, cut once.

July 24, 2013

Professionalism lapses and adverse childhood experiences: reflections from the island of last resort.

August 14, 2019

Changing our culture: adopting the military aviation safety system.

July 16, 2014

Patient Safety and Quality Improvement Act of 2005.

May 10, 2006

Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine.

September 13, 2006

The physician's role in patient safety: what's in it for me?

February 13, 2008

Use of critical incident reports in medical education: a perspective.

November 16, 2005

Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step.

March 6, 2005

Adverse outpatient drug events—a problem and an opportunity.

March 6, 2005

Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.

July 27, 2005

Maths anxiety and medication dosage calculation errors: a scoping review.

October 12, 2016

Health information technology and its effects on hospital costs, outcomes, and patient safety.

October 24, 2012

From blaming to learning: re-framing organisational learning from adverse incidents.

October 26, 2011

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Evaluation of a healthcare safety climate measurement tool.

December 17, 2008

Medical students' experiences with medical errors: an analysis of medical student essays.

June 11, 2008

Scientific inquiry. 100,000 lives campaign and the application to children.

May 3, 2006

The development of the National Reporting and Learning System in England and Wales, 2001-2005.

June 7, 2006

The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.

April 22, 2020

Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons.

October 14, 2015

Determination of health-care teamwork training competencies: a Delphi study.

December 2, 2009

Patient safety and medical liability: current status and an agenda for the future.

September 8, 2010

An implementation strategy for a multicenter pediatric rapid response system in Ontario.

June 9, 2010

Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan.

April 13, 2016

Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment.

March 23, 2016

The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents.

October 9, 2013

Every patient should be enabled to stop the line.

December 12, 2018

Opioid medication discontinuation and risk of adverse opioid-related health care events.

June 12, 2019

Back to basics: checklists in aviation and healthcare.

June 17, 2015

A model of disruptive surgeon behavior in the perioperative environment.

October 15, 2014

Narrative review: do state laws make it easier to say "I'm sorry"?

December 17, 2008

The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.

August 6, 2008

Hospital finances and patient safety outcomes.

June 15, 2005

Fixing broken bones and broken homes: domestic violence as a patient safety issue.

March 6, 2005

Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level.

November 25, 2015

Putting the 'patient' in patient safety: a qualitative study of consumer experiences.

June 15, 2011

Improving patient safety in radiation oncology.

March 16, 2011

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

September 23, 2009

The impact of resident duty hour and supervision changes: a review.

December 9, 2015

Obstetric safety and quality.

August 26, 2015

Making healthcare safer by understanding, designing and buying better IT.

July 22, 2015

When doing wrong feels so right: normalization of deviance.

March 25, 2015

Paramedics and the effects of shift work on sleep: a literature review.

February 29, 2012

Examining the diagnostic justification abilities of fourth-year medical students.

November 7, 2012

Interventions to reduce medication errors in adult intensive care: a systematic review.

September 26, 2012

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study.

August 15, 2012

Organizational response to known medical errors: does peer review protection impede improvement?

May 30, 2018

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

Optimizing transitions of care to reduce rehospitalizations.

July 2, 2014

Development and psychometric testing of a tool to measure missed nursing care.

June 3, 2009

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.

October 5, 2022

Impact of hospital accreditation on quality improvement in healthcare: a systematic review.

January 17, 2024

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

A blueprint for leadership during COVID-19.

August 12, 2020

The coronavirus and the risks to the elderly in long-term care.

May 6, 2020

Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance.

March 16, 2022

Electronic health record interoperability-why electronically discontinued medications are still dispensed.

September 22, 2021

What do we know about financial returns on investments in patient safety? A literature review.

December 21, 2005

Case study: identifying potential problems at the human/technical interface in complex clinical systems.

November 30, 2005

To err is human: quality and safety issues in spine care.

May 30, 2007

Another look at medical error.

March 6, 2005

Recalls and safety alerts affecting automated external defibrillators.

August 23, 2006

Making the business case for patient safety.

March 6, 2005

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

March 10, 2010

The effect of race and sex on physicians' recommendations for cardiac catheterization.

July 15, 2002

February 17, 2016

Rural hospital information technology implementation for safety and quality improvement: lessons learned.

August 5, 2009

Screening electronic health record–related patient safety reports using machine learning.

March 1, 2017

Association between day of delivery and obstetric outcomes: observational study.

December 9, 2015

Root causes of errors in a simulated prehospital pediatric emergency.

February 29, 2012

Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.

May 15, 2013

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.

October 12, 2011

A systems approach to identify factors influencing adverse drug events in nursing homes.

June 27, 2018

Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.

May 6, 2009

'More than words' - interpersonal communication, cognitive bias and diagnostic errors.

August 11, 2021

What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.

September 21, 2022

Interpreting and coding causal relationships for quality and safety using ICD-11.

February 28, 2024

Are the Agency for Healthcare Research and Quality obstetric trauma indicators valid measures of hospital safety?

September 20, 2006

Deploying med reconciliation.

April 30, 2008

Determinants of adverse events in hospitals—the potential role of patient safety culture.

February 27, 2008

A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.

June 29, 2005

Epidemiology, comparative methods of detection, and preventability of adverse drug events.

June 15, 2005

Error, blame, and the law in health care—an antipodean perspective.

March 6, 2005

Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units.

September 23, 2020

Perceptions of hospital safety climate and incidence of readmission.

December 15, 2010

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

September 7, 2011

Strategies for flipping the script on opioid overprescribing.

November 23, 2016

Sleep and circadian misalignment for the hospitalist: a review.

August 3, 2016

Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system.

May 27, 2015

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review.

December 13, 2023

WebM&M Cases

When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!

November 30, 2023

WebM&M Cases

Prolonged DKA in Pregnancy: A Case of Communication Breakdown.

August 30, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

WebM&M Cases

Hospital-Acquired Diabetic Ketoacidosis.

February 1, 2023

Reducing potential errors associated with insulin administration: an integrative review.

December 14, 2022

Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review.

October 5, 2022

Administering High-Strength Insulin from a Pen Device in Hospital.

September 14, 2022

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.

August 24, 2022

WebM&M Cases

Challenges of Diabetes Management and Medication Reconciliation

August 5, 2022

Adverse glycemic events and critical emergencies.

December 15, 2021

Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients.

October 13, 2021

WebM&M Cases

A Sweet Case of Hidden Hydrogen Ions

April 28, 2021

Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017.

March 24, 2021

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.

November 4, 2020

FDA advises health care professionals and patients about insulin pen packaging and dispensing.

October 28, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

Improving the quality of insulin prescribing for people with diabetes being discharged from hospital

October 16, 2019

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.

August 21, 2019

The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care.

July 31, 2019

Clinical reasoning assessment methods: a scoping review and practical guidance.

June 26, 2019

Saving without compromising: teaching trainees to safely provide high value care.

April 17, 2019

WebM&M Cases

Duplicate Insulin Order

March 1, 2019

Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit.

January 23, 2019

Insulin pumps have most reported problems in FDA database.

December 5, 2018

Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.

November 21, 2018

See More About The Topic

Hospitals

Health Care Providers

Quality and Safety Professionals

Endocrinology

Hospital Medicine

Safe and appropriate use of insulin and other antihyperglycemic agents in hospital.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Safe and appropriate use of insulin and other antihyperglycemic agents in hospital.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site